Individual
DR. JONATHAN DAVID GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1434 W US HIGHWAY 287 BYP STE 400, WAXAHACHIE, TX 75165-5007
(469) 550-7050
(469) 550-7051
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-51504
IA
208000000X
Pediatrics Physician
Primary
T5906
TX
Other
Enumeration date
04/05/2019
Last updated
08/20/2024
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